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Penn Medicine, University of Pennsylvania Health System · 1 day ago

HIM Coding Specialist

Philadelphia, PA

Full-time

Onsite

Entry, Mid Level

2+ years exp

Penn Medicine is dedicated to providing high-quality care, conducting innovative research, and educating future leaders in medicine. The HIM Coding Specialist performs coding and abstracting for Radiology services, ensuring accurate diagnosis and procedure coding to maximize reimbursement and compliance with guidelines.

BiotechnologyEducationHealth CareMedicalTraining

Responsibilities

Examines the complete medical record to accurately determine and sequence the principal & secondary diagnoses, procedures, complications, and co-morbidities demonstrating 96% accuracy as determined by audits. Accuracy is important due to the far-reaching impact on reimbursement and quality metrics

Simultaneously abstract and enter all information into the Epic system to ensure timely billing. This includes coding advanced Interventional Radiology services and biopsy procedures

Monitors assignments of ICD-10CM and CPT-4 coding to ensure full compliance with all billing requirements in accordance with federal and state regulations and specific contracts

Demonstrate a consistent level of performance; strive to maintain a steady level of productivity according to current department guidelines. An average of 40 records are coded daily

Possess the ability to code all facilities while maintaining the accuracy and productivity standards set above

Act as a Coding Quality Specialist by referring charts that require clarification of vague or unclear documentation for accurate coding to the physician for the needed documentation

Reviews and processes provider queries. This includes working with the coding staff to appropriately write the query as well as communicating with the provider community to ensure the query is answered

Cooperates with departmental work volumes by adjusting work schedules. Completes all assignments as directed by management in a conscientious and reliable manner. Meets established deadlines. Is willing to adjust the schedule to complete workload to meet pivotal revenue cycle deadlines when requested by management. Cooperates with departmental work volumes by adjusting work schedules

Consistently codes the oldest cases first and prioritizes high dollar cases over 4 days old first

Responsible for continuing education inside and outside the organization and tracking Continuing Education credits to maintain professional credentials. Regularly reviews coding literature keeps current on new revised coding guidelines, and shares information with colleagues. Reviews all coding clinic guidelines, coding literature, etc. Proactively shares information and trends with others

Performs revenue cycle activities as needed

Performs duties in accordance with Penn Medicine and entity values, policies, and procedures

Other duties as assigned to support the unit, department, entity, and health system organization

Qualification

ICD-10CM codingCPT-4 codingCertified Coding SpecialistCoding complianceEpic systemHealth Information ManagementCommunication skillsAttention to detailTeam collaboration

Required

Certified Coding Specialist – CCS (AHIMA) or CPC (AAPC)

H.S. Diploma/GED

2+ years' experience coding inpatient and outpatient medical records

Preferred

RHIT or RHIA

Bachelor of Arts or Science

Health Information Management or Nursing (BSN)

Benefits

Prepaid tuition assistance programs

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Founded in 1765

Philadelphia, Pennsylvania, USA

10001+ employees